Primary Care of Adult Women: Dermatologic Conditions

    March 2016 in “ Obstetrics and Gynecology Clinics of North America ”
    Arlene Ruiz de Luzuriaga, Julie M. Mhlaba, Carly J. Roman
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    TLDR The document says that common skin conditions in adult women can be treated effectively, with acne being the most common and early-detected melanoma having a high survival rate.
    The document from June 1, 2016, provides an overview of dermatologic conditions affecting adult women, including acne, alopecia, melanoma, dermatitis, and lichen sclerosus. Acne is the most common skin disorder, affecting 85% of people aged 12 to 24, with 40% of women aged 25 to 40 experiencing adult acne. Treatments range from topical retinoids to systemic antibiotics and isotretinoin, and the prognosis is generally good with treatment. Alopecia, particularly female pattern hair loss and telogen effluvium, is common, with treatments including topical minoxidil and spironolactone, and varying prognoses. Melanoma has a high survival rate if detected early, with a 10-year survival rate over 95% for thin tumors. Dermatitis, including contact and atopic dermatitis, is more prevalent in women, with half of AD patients experiencing symptoms at age 29. Lichen sclerosus, a chronic inflammatory condition, typically begins between ages 45 and 55 and is treated with topical steroids or macrolides, but can lead to significant scarring if untreated.
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      community C’est terrible - at my wits end

      in Female  443 upvotes 1 year ago
      A 29-year-old woman is experiencing gradual hair thinning since age 15, suspects Androgenic Alopecia, and has tried 5% minoxidil with little success. She has purchased various hair loss treatments including minoxidil, dutasteride, finasteride, and spironolactone, but is cautious about starting them due to potential interactions with her ADHD medication.

      community I am a dermatologist with a clinical interest in alopecia. AMA

      in Will treatment work for me? 2 years ago
      In this conversation, 4990 discussed various treatments for hair loss, including oral minoxidil, PRP, transplan, Jak inhibitors, Dutasteride, Finasteride, Olumiant, Ketoconazole, RU58841, microneedling, baricitinib, and CCCA. They recommended scalp biopsies in unclear cases of DUPA, twice weekly to twice daily shampooing for topical minoxidil users, and two sessions spaced one month apart with follow up at month three to determine the effectiveness of PRP treatment.

      community My scalp punch biopsy results🤔?

      in Female  8 upvotes 1 year ago
      Female using Rogaine foam for hair loss had scalp punch biopsy, diagnosed with Androgenetic Alopecia (AGA). Doctor recommended starting Spironolactone 50mg.

      community Which dermastamp/roller do you suggest?

      in Microneedling  3 upvotes 4 months ago
      A 30-year-old female with telogen effluvium and androgenetic alopecia is using spironolactone, oral minoxidil, vitamin D, iron sulfate, and a hairmax laser band. She seeks recommendations for a dermastamp or derma roller, advised to use no higher than 0.5 mm.

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